Randomized pilot trial of a telephone symptom management intervention for symptomatic lung cancer patients and their family caregivers
Open accessAbstract
Context Lung cancer is one of the most common cancers affecting both men and women and is associated with high symptom burden and psychological distress. Lung cancer patients' family caregivers also show high rates of distress. However, few interventions have been tested to alleviate significant problems of this population.Objectives This study examined the preliminary efficacy of telephone-based symptom management (TSM) for symptomatic lung cancer patients and their family caregivers.Methods Symptomatic lung cancer patients and caregivers (n = 106 dyads) were randomly assigned to four sessions of TSM consisting of cognitive-behavioral and emotion-focused therapy or an education/support condition. Patients completed measures of physical and psychological symptoms, self-efficacy for managing symptoms, and perceived social constraints from the caregiver; caregivers completed measures of psychological symptoms, self-efficacy for helping the patient manage symptoms and managing their own emotions, perceived social constraints from the patient, and caregiving burden.Results No significant group differences were found for all patient outcomes and caregiver self-efficacy for helping the patient manage symptoms and caregiving burden at two- and six-weeks post-intervention. Small effects in favor of TSM were found regarding caregiver self-efficacy for managing their own emotions and perceived social constraints from the patient. Study outcomes did not significantly change over time in either group.Conclusion Findings suggest that our brief telephone-based psychosocial intervention is not efficacious for symptomatic lung cancer patients and their family caregivers. Next steps include examining specific intervention components in relation to study outcomes, mechanisms of change, and differing intervention doses and modalities.
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The education/support condition was tested in the authors' pilot feasibility trial and is similar to controls in other cancer trials.
“The education/support condition was tested in our pilot feasibility trial [23] and is similar to controls in other cancer trials [34, 35].”
From Protocol of a randomized trial of acceptance and commitment therapy for fatigue interference in metastatic breast cancer (2020) · cites this paper as [34]
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- Authors
- Mosher, C. E., Winger, J. G., Hanna, N., Jalal, S. I., Einhorn, L. H., Birdas, T. J., Ceppa, D. P., Kesler, K. A., Schmitt, J., Kashy, D. A., & Champion, V. L.
- Affiliations
- Indiana University – Purdue University Indianapolis (US)
- Indiana University School of Medicine (US)
- Richard L. Roudebush VA Medical Center (US)
- Michigan State University (US)
- Indiana University Indianapolis (US)
- Corresponding author
- Mosher, Catherine E.
- ORCID
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 52
- Issue
- 4
- Pages
- 469-482
- ISSN
- 0885-3924 (ISSN-L)
- PMC
- PMC5075493
- OpenAlex
- W2473088790
- Cited by
- 91
- References
- 78
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 7 · 2023: 9 · 2022: 11 · 2021: 15 · 2020: 9 · 2019: 10 · 2018: 6 · 2017: 6
- FWCI
- 3.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion)
- Funders
- American Cancer Society (PEP-13-236-01-PCSM)
- American Cancer Society Institutional Research grant
- National Cancer Institute (K07CA168883, K05CA175048)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- lung cancer, symptom management, telephone-delivered intervention, family caregivers, caregiver burden, psychological distress, self-efficacy, emotion-focused therapy, cognitive behavioral therapy, psychosocial interventions, dyadic intervention, caregiver-patient relationship
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Lung Neoplasms, Male, Middle Aged, Patient Education as Topic, Pilot Projects, Cognitive Behavioral Therapy, Caregivers, Treatment Failure, Telemedicine, Disease Management, Self Efficacy, Self Report
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